Skip to content

Hawthorne Lugoff Pharmacy, LLC

NPI 1114251337ActiveOrganization· Pharmacy· Lugoff, SC

Pharmacy in Lugoff, South Carolina, registered in NPPES in September 2009. The authorized official on file is Kristie Cassidy, R.PH., Vice-President. Medicare paid $51,358 for services to 261 patients in 2024.

Overview

NPI1114251337
StatusActive
Entity typeOrganization
NPI issuedSep 21, 2009
Last updated in NPPESNov 13, 2025
Certified by providerNov 13, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy Primary333600000XPENDINGSC

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (SC)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients261
Services billed728 across 9 procedure codes
Paid by Medicare$51,358

Medicare sources and data years